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Metal Pneumonitis from "Non-toxic" Decorative Cake Dust Aspiration: A Case Report.
Clin Pract Cases Emerg Med
November 2024
Atrium Health's Carolinas Medical Center, Department of Emergency Medicine, Division of Medical Toxicology, Charlotte, North Carolina.
Introduction: Metallic luster dusts are decorative agents for cakes and other confections. While some powders are labeled "non-edible," they are also marketed as "non-toxic." We present a case of a child who developed acute metal pneumonitis after accidental aspiration of metallic luster dust.
View Article and Find Full Text PDFPlacement of Nasogastric Tubes in Pancreaticoduodenectomy Patients: Switching from Immediate Intraoperative Removal to Avoiding Unnecessary Perioperative Use.
Curr Probl Surg
February 2024
Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University. Electronic address:
Background: The placement of nasogastric tubes (NGTs) in abdominal surgery has been adopted for decades to attenuate ileus and prevent aspiration pneumonia. In the recent era, the guidelines recommend not using NGT routinely, and even in pancreaticoduodenectomy (PD), immediate removal of NGT in operating rooms (ORs) was suggested. However, the clinical outcome and safety of abandoning NGT during the pre-PD and intra-PD periods remain unknown.
View Article and Find Full Text PDFClinical-scientist-led transoesophageal echocardiography (TOE): using extended roles to improve the service.
BMJ Open Qual
September 2023
Alliance Manchester Business School, The University of Manchester, Manchester, UK.
At the North West Anglia NHS Foundation Trust, we perform transoesophageal echocardiography (TOE), a semi-invasive diagnostic test using ultrasound for high-quality heart imaging. TOE allows accurate diagnosis of serious heart problems to support high-quality clinical decision-making about treatment pathways. The procedure can be lengthy and is traditionally performed by a consultant cardiologist, who typically has multiple commitments.
View Article and Find Full Text PDFAre we abandoning intubating supraglottic airway devices? We should not!
Can J Anaesth
December 2023
Mount Sinai Hospital, University of Toronto, Rm. 7-405, 600 University Avenue, Toronto, ON, M5G 1X5, Canada.
A Diagnostic Dilemma: Is It Factitious Disorder With Nonepileptic Seizure or Malingering With Nonepileptic Seizure?
Cureus
May 2023
Department of Addiction Medicine, Larkin Community Hospital, South Miami, USA.
In reality, the lines between factitious disorder, functional disorder, and malingering are quite blurred. In factitious disorder and malingering, patients consciously and deliberately create false medical and/or psychiatric symptoms for self-gain, often approaching multiple healthcare facilities to evade detection. Although the factitious disorder is pervasive, and the literature lacks accurate and consistent information, comorbidity with nonepileptic seizure (NES, a component of functional disorder) is quite commonly documented.
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